NPIMap

Individual provider Active NPI

Monique Junette Caruth, MPT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1679700785
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22494 Issued in MD
Practice address
4000 Mitchellville Rd
Suite a 410
Bowie, MD 20716-3104
Phone
(301) 464-4503
Fax
(301) 464-6953
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22494 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd
Suite a 410
Bowie, MD 20716-3104

Mailing address

302 Etna Dr
Upper Marlboro, MD 20774-2142
Phone (202) 210-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caruth Staffing Agency P.C. Current Accepting new patients
Earth Angels Inc. Outpatient Rehab Physical Therapist Past Accepting new patients
Rehabneeds Physical Therapist PastSince Mar 1, 2017 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1679700785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ETNA DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742142",
            "telephone_number": "202-210-0014",
            "fax_number": "301-464-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE A 410",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-464-4503",
            "fax_number": "301-464-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUTH",
        "first_name": "MONIQUE",
        "middle_name": "JUNETTE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.